| NPI | 1336801000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE CASSELLA Owner/Administrator 919-621-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-11 |